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ACT Worksheets

Acceptance and Commitment Therapy worksheets to help you build psychological flexibility, clarify your values, and commit to meaningful action — even in the presence of difficult thoughts and feelings.

These materials are provided as educational supplements to your treatment. They are not a substitute for professional psychiatric or therapeutic care.

ACT Core Worksheets

Foundational Acceptance and Commitment Therapy worksheets — defusion, acceptance, values clarification, committed action, and more.

ACT Core Skills Handout

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A comprehensive overview of the six core processes of Acceptance and Commitment Therapy (The Hexaflex).

Values Clarification Worksheet

Explore what truly matters to you across different life domains (relationships, work, health, etc.) to guide your actions.

Clarifying Values & Life Changes

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A deep dive into values-based living: The 'Unlimited Confidence' thought experiment and a comprehensive list of 60 values.

Defusion Techniques Handout

Learn 10 practical techniques to unhook from difficult thoughts and reduce their impact on your behavior.

Depression ACT Worksheet

Acceptance and Commitment Therapy exercises for depression: defusion, acceptance, values clarification, and committed action.

Anxiety ACT Worksheet

Apply ACT principles to anxiety, including willingness to experience sensations and dropping the struggle.

The 'And' Stance

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Practice holding two seemingly contradictory truths at once — a core ACT skill for psychological flexibility.

The Observing Self

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Connect with the part of you that can observe thoughts and feelings without being defined by them.

Values Compass

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A visual tool for identifying your core values and aligning your daily actions with what matters most.

Anxiety ACT Worksheet (PDF)

Printable PDF version of the Anxiety ACT Worksheet.

ACT Anxiety Series: Part 1 — Befriending the Nervous System

Understanding your nervous system as an ally, not an enemy.

ACT Anxiety Series: Part 2 — The Wisdom of Fear

Exploring the evolutionary purpose of fear and how to work with it.

ACT Anxiety Series: Part 3 — The Shadow of Control

How the struggle to control anxiety paradoxically amplifies it.

ACT Anxiety Series: Part 4 — The Catastrophizer

Working with the mind's tendency to predict the worst-case scenario.

ACT Anxiety Series: Part 5 — The Orphan

Understanding the abandoned inner child as a source of anxiety.

ACT Anxiety Series: Part 6 — The Architecture of Avoidance

Mapping the ways we avoid anxiety and the cost of that avoidance.

ACT Anxiety Series: Part 7 — Somatic Listening

Tuning into the body's signals as a guide to emotional processing.

ACT Anxiety Series: Part 8 — Dropping the Rope

The tug-of-war metaphor: learning to stop fighting anxiety.

ACT Anxiety Series: Part 9 — The Courage to Be

Moving toward valued living even in the presence of anxiety.

ACT Anxiety Series: Part 10 — Expansion & Willingness

Practicing psychological flexibility and radical acceptance of difficult emotions.

ACT Anxiety Series: Part 11 — Compass of Values

Using values as a compass to navigate through anxiety toward a meaningful life.

ACT Anxiety Series: Part 12 — The Alchemist

Transforming anxiety into fuel for growth, creativity, and committed action.

ACT for Psychosis Series (12 Sessions)

A 12-session ACT protocol adapted for psychosis — defusion from unusual thoughts, acceptance of voice-hearing experiences, mindful awareness, the observing self, values work, and committed action toward a meaningful life alongside difficult experiences.

Understanding Your Experiences

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An introduction to ACT for psychosis — exploring your relationship with unusual experiences and shifting from elimination to coexistence.

Noticing Thoughts as Thoughts

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Cognitive defusion for psychosis — learning to see thoughts as mental events rather than facts, using 'I'm having the thought that...' and visualization exercises.

Making Room for the Unusual

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Acceptance work — examining the cost of struggling against your experiences and practicing willingness to coexist with difficult internal events.

Mindful Awareness

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Adapted mindfulness practices for psychosis — grounded, externally-focused exercises including the Five Senses Check-In, Mindful Object Focus, and Mindful Walking.

Clarifying Your Values

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Identifying what matters across life domains — relationships, work, health, creativity, spirituality — and recognizing the gap between importance and consistency.

Committed Action

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Building concrete action plans connected to values — including the willingness question and structured plans with specific steps, timing, and anticipated barriers.

Relating Differently to Voices

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Changing your relationship with voice-hearing experiences — from domination or warfare to coexistence using characterization, 'Thank You Mind,' and externalization.

The Observing Self

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Self-as-context — contacting the stable awareness behind your experiences using the Continuous You exercise and the Chessboard Metaphor.

Contact with the Present Moment

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Deepening present-moment contact — the 3-Breath Anchor, Running Commentary practice, and a 7-day tracking log for anchoring attention during psychotic experiences.

Values Clarification (Deeper)

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Deeper values work — examining how psychosis has shaped identity, distinguishing your values from imposed expectations, and confronting the grief of disconnection.

Committed Action (Deeper)

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Sustaining committed action through setbacks — reviewing progress, working with failure compassionately, and building revised action plans with built-in resilience.

Integration and Maintenance Plan

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The final session — consolidating your ACT toolkit, building a daily maintenance plan, creating a crisis plan, and writing a message to your future self.